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AgingCOmPLETENCT03986892

The COmPLETE Study

An observational study of Aging and Heart Failure, run by Arno Schmidt-Trucksäss at 1 site in Switzerland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The project is designed as a large scale, cross-sectional study. This research seeks to identify physical fitness and cardiovascular parameters that best resemble underlying cardiovascular risk with age. Further, it will examine which physical fitness markers are impaired most in heart failure. Read more about this study

Who is it for?
Ages 20 to 100 yearsHealthy volunteers can take part
Conditions the study is for
Aging, Heart Failure
What is being tested?
Physical Activity
How many people
678 participants
Where
1 siteSwitzerland
Study dates
3 Jan 2018to 31 Jan 2020
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 100 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: In C-Health, recruitment will be performed until a total number of 490 participants with a valid cardiopulmonary exercise test (CPET) as our primary outcome are included. All participants will be recruited in the area of Basel, including 35 males and 35 females per age category (i.e., 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, and 80+ years of age). C-Heart will include 80 heart failure patients characterized according to criteria named below. Stable CHF (treated patient with symptoms and signs that have remained generally unchanged for at least one month) characterized according to the European Society of Cardiology guidelines for the diagnosis and treatment of acute and chronic heart failure [82], as follows: 1. HFrEF (LVEF < 40%) 2. HFmHF (LVEF 40-49%) 3. HFpEF (LVEF ≥ 50%) and NT-proBNP > 125 pg/mL and structural or functional changes in echocardiography in no. 2 or 3.

Who may be able to join

  • C-Health:
  • Healthy men and women aged 20-100 years
  • Body mass index < 30 kg/m2
  • Nonsmoker
  • C-Heart:
  • Stable CHF (treated patient with symptoms and signs that have remained generally unchanged for at least one month) characterized according to the European Society of Cardiology guidelines for the diagnosis and treatment of acute and chronic heart failure [82], as follows:
Show all 9Show fewer
  • HFrEF (LVEF < 40%)
  • HFmHF (LVEF 40-49%)
  • HFpEF (LVEF ≥ 50%) and NT-proBNP > 125 pg/mL and structural or functional changes in echocardiography in no. 2 or 3.

Who cannot join

  • C-Health:
  • Age younger than 20 years; manifest exercise limiting chronic disease (e.g., myocardial infarction; stroke; heart failure; lower-extremity artery disease; cancer with general symptoms; diabetes; clinically apparent renal failure; severe liver disease; chronic bronchitis GOLD stages II to IV; osteoporosis), women with known pregnancy or breastfeeding; drug or alcohol abuse; hypertonic blood pressure of less than 160/100 mmHg; compromising orthopaedic problems; Alzheimer's disease or any other form of dementia; inability to follow the procedures of the study (e.g., due to language problems, psychological disorders, dementia of the participant); diseases regarded as an absolute contraindication for maximal exertion; and current or past smoking status.
  • C-Heart:
  • Age younger than 20 years; women with known pregnancy or breastfeeding; drug or alcohol abuse; inability to follow the study procedures (e.g., due to language problems, psychological disorders, etc.); unstable angina pectoris; uncontrolled brady- or tachyarrythmia; paroxysmal atrial fibrillation; severe uncorrected valvular disease; acute myocardial infarction or coronary syndrome; transient ischemic attack or stroke occurring less than three months prior; clinically significant concomitant disease states (e.g. uncontrolled hypertonic blood pressure); clinical evidence of current malignancy with exception of basal cell or squamous cell carcinoma of the skin and/or cervical intraepithelial neoplasia; currently receiving systemic chemotherapy and/or radiotherapy; significant musculoskeletal disease other than that associated with heart failure limiting exercise tolerance; active infection; immunosuppressive medical therapy; life-expectancy of less than six months; and prevalence of a disease regarded as an absolute contraindication for maximal exertion.

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • Department for Sport, Exercise and Health, Section Sports and Exercise Medicine, University of Basel

    Basel, 4052

Other trials in Switzerland

About this study

Official title: Functional Aging in Health and Heart Failure: The COmPLETE Study

The project is designed as a large scale, cross-sectional study. This research seeks to identify physical fitness and cardiovascular parameters that best resemble underlying cardiovascular risk with age. Further, it will examine which physical fitness markers are impaired most in heart failure.

Read the detailed description

Cardiovascular (CV) diseases including heart failure are the leading causes of morbidity, with age being the primary risk factor. The combination of age-related organic functional impairment and reduced physical fitness can drastically impact an individual's healthspan. One's lifespan can potentially be prolonged by the preservation or improvement of physical fitness. However, it remains unclear as to which biomarkers are most suitable for distinguishing between healthy aging and the impaired organ function associated with heart failure. Therefore, a comprehensive assessment of the components of physical fitness and CV function will be performed to identify the most important factors contributing to aging in relation to both health and disease.

This cross-sectional investigation will consist of two parts: the COmPLETE-Health (C-Health) and COmPLETE-Heart (C-Heart) studies. C-Health will examine the aging trajectories of physical fitness components and CV properties in a healthy population sample aged between 20 and 100 years (n = 490). Separately, C-Heart will assess the same markers in patients at different stages of chronic heart failure (n = 80). The primary outcome to determine the difference between C-Health and C-Heart will be cardiorespiratory fitness as measured by cardiopulmonary exercise testing on a bicycle ergometer. Secondary outcomes will include walking speed, balance, isometric strength, peak power, and handgrip strength. Physical activity as a behavioural component will be assessed objectively via accelerometry. Further, CV assessments will include pulse wave velocity; retinal, arterial, and venous diameters; brachial and retinal arterial endothelial function; carotid intima-media thickness; and systolic and diastolic function. The health distances for C-Health and C-Heart will be calculated using the methodology based on statistical (Mahalanobis) distance applied to measurements of quantitative biomarkers.

This research seeks to identify physical fitness and CV biomarkers that best resemble underlying CV risk with age. Further, it will examine which physical fitness markers are impaired most in heart failure. The presented integrative approach could define new recommendations for diagnostic guidance in aging. Ultimately, this study is expected to offer a better understanding of which functional characteristics should be specifically targeted in primary and secondary prevention to achieve an optimal healthspan.

Conditions
Aging, Heart Failure
Being tested
Physical Activity
Keywords
fitness, exercise, vascular function
Medical subject headings
Heart Failure, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Physical ActivityBehavioural

    Physical Activity

Study groups in NCT03986892
Study groupRoleWhat they receive
COmPLETE-HealthNo intervention
Receives: Behavioral: Physical Activity
COmPLETE-HeartNo intervention
Receives: Behavioral: Physical Activity

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cardiorespiratroy Fitness

    Maximal Oxygen uptake measured by cardiopulmonary exercise testing (VO2peak) in L/min

    Measured: 3 hours after inclusion in study

  2. Ventilatory Efficiency

    VE/VCO2 measured by cardiopulmonary exercise testing ((L/min)/(L/min))

    Measured: 3 hours after inclusion in study

  3. Oxygen Uptake Efficiency

    The Oxygen Uptake Efficiency Slope is defined as the regression slope 'a' in V̇O2 = a × log VE +b measured by cardiopulmonary exercise testing.

    Measured: 3 hours after inclusion in study

  4. Gait speed

    Gait speed measured by an inertial sensor system in m/s.

    Measured: 1.5 hours after inclusion in study

  5. Standing balance

    The cumulative sway path (cm) serves as a measure of postural control.

    Measured: 2.5 hours after inclusion in study

  6. Hand grip strength

    Measured by a handheld dynamometer. Maximal achieved grip strength (kg) is recorded.

    Measured: 2.5 hours after inclusion in study

  7. Power of leg muscles

    Peak power measured by countermovement jump performed on a force plate. Reported in N/kg

    Measured: 2.5 hours after inclusion in study

  8. Arterial stiffness

    Meausred by an noninvasive vascular screening system. Reported as brachial-ankle pulse wave velocity (baPWV).

    Measured: 0.5 hours after inclusion in study

  9. Endothelial function

    Meausred as flow mediated dilation (FMD) by ultrasound reported as %.

    Measured: 1 hours after inclusion in study

  10. Left ventricular ejection fraction

    Meausred by echocardiography reported as %.

    Measured: 1 hour after inclusion in study

  11. Carotid-intima-media thickness

    Carotid intima-media thickness (mm) is measured by 2D ultrasound instrument.

    Measured: 1 hour after inclusion in study

  12. Retinal arterial and venous diameters

    Measured by static retinal vessel analysis. Diameters will be averaged to central retinal arteriolar and venular equivalents (CRAE and CRVE) and the arteriolar-to-venular diameter ratio will be calculated from the CRAE and CRVE.

    Measured: 7-30 days after inclusion in study

  13. Retinal endothelial function

    Measured by dynamic retinal vessel analysis reported as %.

    Measured: 7-30 days after inclusion in study

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jun 2019
  2. Study start3 Jan 2018
  3. Primary completion20 Dec 2019
  4. Study completion31 Jan 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
678 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03986892
Sponsor's protocol ID
182815
Acronym
COmPLETE
Status last verified
Apr 2020
First submitted
5 Jun 2019
Last updated
24 Apr 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Schwendinger F, Knaier R, Wagner J, Infanger D, Lichtenstein E, Hinrichs T, Rowlands A, Schmidt-Trucksass A. Relative and absolute intensity accelerometer metrics decipher the effects of age, sex, and occupation on physical activity. BMC Public Health. 2025 Mar 6;25(1):885. doi: 10.1186/s12889-025-21800-w.

    PubMed 40050804
  • Prechtl L, Carrard J, Gallart-Ayala H, Borreggine R, Teav T, Konigstein K, Wagner J, Knaier R, Infanger D, Streese L, Hinrichs T, Hanssen H, Ivanisevic J, Schmidt-Trucksass A. Circulating amino acid signature features urea cycle alterations associated with coronary artery disease. Sci Rep. 2024 Oct 28;14(1):25848. doi: 10.1038/s41598-024-76835-7.

    PubMed 39468229
  • Schwendinger F, Wagner J, Knaier R, Infanger D, Rowlands AV, Hinrichs T, Schmidt-Trucksass A. Accelerometer Metrics: Healthy Adult Reference Values, Associations with Cardiorespiratory Fitness, and Clinical Implications. Med Sci Sports Exerc. 2024 Feb 1;56(2):170-180. doi: 10.1249/MSS.0000000000003299. Epub 2023 Sep 12.

    PubMed 37703330
  • Schwendinger F, Wagner J, Infanger D, Schmidt-Trucksass A, Knaier R. Methodological aspects for accelerometer-based assessment of physical activity in heart failure and health. BMC Med Res Methodol. 2021 Nov 14;21(1):251. doi: 10.1186/s12874-021-01350-6.

    PubMed 34775952
  • Streese L, Vaes A, Infanger D, Roth R, Hanssen H. Quantification of Retinal Vessel Myogenic Constriction in Response to Blood Pressure Peaks: Implications for Flicker Light-Induced Dilatation. Front Physiol. 2021 Feb 18;12:608985. doi: 10.3389/fphys.2021.608985. eCollection 2021.

    PubMed 33679432

Questions about this trial

What is this clinical trial studying?

An observational study of Aging and Heart Failure, run by Arno Schmidt-Trucksäss at 1 site in Switzerland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cardiorespiratroy Fitness (time frame: 3 hours after inclusion in study). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03986892, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Apr 2020.

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